DR. MICHAEL S JR. KELLEHER (M.D.) – Diagnostic Radiology Physician, NPI 1518253418
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
804 DIAGNOSTIC RADIOLOGY in CT
Provider Addresses for DR. MICHAEL S JR. KELLEHER (M.D.)
1591 BOSTON POST RD STE 106
GUILFORD, CT 064374335
Phone: (203) 453-5123
Type: Location
57 S MAIN ST
MIDDLETOWN, CT 064573606
Phone: (860) 620-7298
Type: Mailing
17921 VILLA CLUB WAY
BOCA RATON, FL 334961000
Phone: (860) 620-7298
Type: Mailing
200 LOTHROP ST STE 700
PITTSBURGH, PA 152132536
Phone: (740) 504-9671
Type: Location
2 JEREMY GARDEN LN
WOODBRIDGE, CT 065252044
Phone: (860) 620-7298
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160610001833 | I | Diagnostic Radiology | CT | TBD |
| I20200728004067 | I | Diagnostic Radiology | PA | TBD |
| I20240903002219 | I | Diagnostic Radiology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 1,901 | 1,901 | $0 |
| 77063 | Screening 3d breast mammography | 1,901 | 1,901 | $0 |
| 71045 | X-ray of chest, 1 view | 703 | 609 | $0 |
| 76641 | Complete ultrasound scan of 1 breast | 512 | 512 | $0 |
| 70450 | Ct scan head or brain without contrast | 155 | 154 | $0 |
Insurance plans in this area (ZIP 06437)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | RI | |
| Diagnostic Radiology | CT | |
| - | IL | |
| Interventional Radiology, Diagnostic Radiology | CT | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MA | |
| Physician Assistant | CT | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | CT |
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